Personal Training Info
The answers to these questions will help me determine if we're a good fit for training
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Email *
Phone Number
Name (First and Last) *
Age
Height
Weight
In lbs. Please only put the number.
Gender *
Occupation *
How did you hear about me? *
What is your primary goal? *
Required
Do you have any orthopedic issues that will limit your ability to perform exercise? If so, please list them below and elaborate on what movements exacerbate those issues. *
Have you worked with a trainer before? *
If so, what did you like/not like about personal training?
Have you ever trained with barbells before? *
How committed are you to reaching your goals? *
Meh
I will stop at nothing to reach my goals
Are you willing to make this a priority?
Clear selection
What do you think has been holding you back up to this point? *
Do you get bored easily doing the same exercises? *
Do you understand that this will require a lot of consistency and hard work? *
Do you understand that major changes can take months to years to achieve?
Clear selection
How would you rate your dietary habits?
Extremely poor
Excellent
Clear selection
How would you rate your stress level at this point in your life?
Little to no stress
Extremely stressed
Clear selection
How would you rate your sleep?
Extremely poor
Excellent
Clear selection
What days/times do you have available to train? *
How frequently do you travel for more than 3 days at a time?
Clear selection
Do you have gym access?
Clear selection
What kind of equipment does your gym have?
Are you interested in online training?
Clear selection
Are you okay working out with one other person? *
Why do you want this? What will succeeding mean for you? *
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